Top Dental Elf Blogs: Jul – Sep 2021

shutterstock_14465950 dentist and assistant

Treatments for cavitated dentine caries, topical anaesthetics to reduce injection pain and vital pulp therapy for permanent teeth were out most popular blogs duing July, August and September 2021.

[read the full story...]

Which retrograde root filling material?

shutterstock_119290663

This Cochrane review update of different materials used for retrograde root filling in children and adults requiring retrograde filling included 8 RCTs. However the studies are all at high risk of bias so provide insufficient evidence for the benefits of any one material.

[read the full story...]

Vital pulp therapy in permanent teeth

shutterstock_140418271

This review aimed to evaluate the association of preoperative factors or intraoperative factors with treatment outcomes of vital pulp therapy. 14 RCTs were included with the findings indicating a 93.2% (95%CI; 91-6% to 94.9%) success rate using contemporary bioceramic material based on low certainty evidence.

[read the full story...]

Direct pulp capping in permanent teeth

900px-Pulp_cap

This review the outcome of direct pulp capping (DPC) in mature permanent teeth with a cariously exposed pulp and a clinical diagnosis of reversible pulpitis included 14 studies. The findings suggest that direct pulp capping is generally a clinically effective procedure in teeeth with reversible pulpitis.

[read the full story...]

Endodontic microsurgery

Endodontics_microscope

This review of the clinical and radiographic long-term outcome of endodontic microsurgery in teeth diagnosed with secondary apical periodontitis included 10 studies suggesting an overall success rate ranging from 69-93%.

[read the full story...]

Direct pulp capping in primary teeth

900px-Pulp_cap

This review of direct pulp capping in vital primary teeth included 12 RCTs testing 16 different pulp capping agents. Interpretation of the available data is limited as few trials comparign the same agents and the quality of the trials is low.

[read the full story...]

Pulpotomy in immature permanent teeth

shutterstock_48486751 stomatologist shows x-ray

This review of different pulpotomy dressing agents for pulpotomy treatment in immature permanent teeth. While the review suggested that the various agents tested had similar success rates the findings should be viewed cautiously as all the studies were at high risk of bias.

[read the full story...]

Pulpotomy for permanent teeth

Pulp_cap

This review of the efficacy and cost-effectiveness of pulpotomy and associated medicaments in permanent teeth with pulp exposure included 17 RCTs some os which are still ongoing. The findings suggest that pulpotomy may be a potential treatment option for permanent teeth but more research is needed.

[read the full story...]

Vital pulp treatments in mature molars

900px-Pulp_cap

4 different vital pulp treatments for deep caries management of mature permanent molars were tested in this stud .The findings suggest that these techniques could be used but other approaches are available.

[read the full story...]

Pulp treatments in primary teeth

caries upper arch

This Cochrane review of pulp treatments for primary teeth included 87 trials. Pulp treatments were generally successful with many trials having no clinical or radiological failure in either arm.
Mineral trioxide aggregate (MTA) may be the best medicament to apply after pulpotomy. For pulpectomy there was no conclusive evidence that one medicament or technique is superior to another.

[read the full story...]